Bill > SB521

This bill requires health insurance carriers to provide more robust notification to enrollees when a primary care provider or a behavioral health provider leaves their network, extending the period for continued care for up to 90 days and requiring carriers to use a uniform form for these requests. It also mandates that carriers notify the Insurance Commissioner at least 60 days before a material change to their provider network, such as the termination of a provider or health system, and requires an update to the carrier's access plan within five business days of the termination, with potential fines for non-compliance. Additionally, the bill establishes new special enrollment periods for individuals who are undergoing regular treatment with a provider that is subsequently terminated from their health plan's network, allowing them 90 days to enroll in a new plan, with coverage effective either at the start of the next month or retroactively to the date of the provider's termination.